Tropical Journal of Obstetrics and Gynaecology

ORIGINAL ARTICLE
Year
: 2019  |  Volume : 36  |  Issue : 1  |  Page : 21--27

Disrespect and abuse during facility based childbirth: The experience of mothers in Kano, Northern Nigeria


TG Amole1, MJ Tukur2, SL Farouk2, AO Ashimi3 
1 Department of Community Medicine, Bayero University Kano; Aminu Kano Teaching Hospital, Kano, Nigeria
2 Department of Community Medicine, Bayero University Kano, Kano, Nigeria
3 Federal Medical Centre, Birnin Kudu, Jigawa State, Nigeria

Correspondence Address:
Dr. T G Amole
Department of Community Medicine, Bayero University Kano/Aminu Kano Teaching Hospital, Kano
Nigeria

Context: An important but little understood concept that retards the goal to reduce maternal mortality and increase universal access to reproductive health is disrespect and abuse (D&A) during childbirth. Aim: This study aims to determine the prevalence, pattern, perpetrators, and determinants of D&A during childbirth among recently parturient women in Kano, north western Nigeria. Settings and Design: Using a cross-sectional design, 332 women accessing child immunization and postnatal services at Murtala Muhammad Specialist Hospital, Kano, were selected. Subjects and Methods: Respondents were selected using systematic sampling technique and data collected using an adapted, interviewer administered tool. Statistical Analysis: Data was analysed using IBM SPSS version 21.0 and level of significance set at 0.05. Results: Respondents (n = 306) had a mean age of 27.7 ± 6.3 years and more than half (55.9%; n = 171) had experienced at least one form of D&A during childbirth. Commonest forms of abuse were abandonment and nonconfidential care (84.5%, n = 142; 67.9%, n = 114, respectively). Main perpetrators were nurses/midwives (83.0%, n = 142). The experience during the last childbirth was significantly higher among respondents of non-Hausa/Fulani ethnic group (χ2 = 6.10; P = 0.014), of the Christian faith (χ2 = 8.62; P = 0.003), and with formal education (χ2 = 19.94; P = 0.0001). After controlling for confounders, formal education remained a predictor for experiencing abuse at childbirth (AOR = 2.43; 95% confidence interval = 1.11--5.32). Conclusions: D&A during childbirth is prevalent in our setting. Educating healthcare providers and women about their responsibilities and rights will enhance provision and utilization of quality maternal health services.


How to cite this article:
Amole T G, Tukur M J, Farouk S L, Ashimi A O. Disrespect and abuse during facility based childbirth: The experience of mothers in Kano, Northern Nigeria.Trop J Obstet Gynaecol 2019;36:21-27


How to cite this URL:
Amole T G, Tukur M J, Farouk S L, Ashimi A O. Disrespect and abuse during facility based childbirth: The experience of mothers in Kano, Northern Nigeria. Trop J Obstet Gynaecol [serial online] 2019 [cited 2019 Sep 18 ];36:21-27
Available from: http://www.tjogonline.com/article.asp?issn=0189-5117;year=2019;volume=36;issue=1;spage=21;epage=27;aulast=Amole;type=0